Qualifying Documents MayerRFC;Fl~~'~~
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LOYALTY OATH OFFICE USE ONLY
CANDIDATES WITH NO PARTY AFFILIATION
(Sections 876.05-876.10, Florida Statutes)
STATE OF FLORIDA Miami-Dade COUNTY
PLEASE PRINT
1, M t~ i ~ M 14 y C)2~
First Name Middle Namellnitlal Last Name
a citizen of the State of Florida and of the United States of America, ... and a candidate for public office ... do
hereby solemnly swear or affirm that I will support the Constitution of the United Stat
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tate of Florida.
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
1, M Id-Rt /~- M iq-y ClYL-
(PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT -NAME MAY NOT BE CHANGED AFTER THE ENO OF QUALIFYING)
am a candidate for the office of Ni l Yq-M~ Q~E~{~' C pMM ~ gS) t~ NIA N!A ,
(office) district) (circuit)
I am a qualified elector of (V1 l fA'w11 ~~~ Cvunty, Florida.
(group)
I am a qualified elector of the City of Miami Beach, Florida, residing within the Cityy at least one ye r before qualifying
for Cit
of Miami B
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ice, with my legal residence being:
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Miami Beach, Florida. I am qualified under the ordinances and Charter of said City and under the Constitution and the
Laws of Florida to hold the office to which I desire to be nominated or elected. I have. qualified for no other public office
in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have resigned from
an office from which I am required to resign pursuant to Section 99.012, Florida Statutes.
UNDER PENALTIES OF PERJURY, 1 DECLARE THAT 1 HAVE READ THE FOREGOING LOYALTY OATH AND OATH OF
CANDIDATE AND THAT THE FACTS STATED IN EACH ARE TRUE.
~sw0 ANASUBSy RIBED before me thik mil` ,~~ day ~
l 20vv77 Nota Name: --~
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Cyc•, Notary Public, State of Flori a
Commission Expires:g^~5-a0~a Personally Known:
Produced ID: Type:
SIGN HERE
Signature of Candi ate
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MRRGAIIET 0'D RYDER
Mdwy hlrN~ - Std 01 Florida ,
• Ul- Cofptil. t~tpirn Sep 15.2012
Commftaion • oo sttta
• RondW TirayA f1aM>on+d Mruafr btin.
FORM 1 STATEMENT OF 2008
Please print or type your name, mailing FINANCIAL INTERESTS
address, agency name, and position below:
LAST NAME -- FIRST NAME -- MIDDLE NAME : FOR OFFICE
USE ONLY
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MAILING ADDRESS : ~°
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CITY : ZIP : COUNTY : C.^ -EJ ~~
M t a nn c D, ~ at,~-f 3 3 c ~G~ nn t ann ~- ~ ~ I D N o. C, ~ .,..~._
NAME OF AGENCY
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NAME OF OFFICE OR POSITION HELD OR SOUGHT : P. Req. Code
MtArMt b M I SSI ~>v yRat)P
You are not limited to the space on the lines on this form. Attach additional sheets, if necessary.
CHECK ONLY IF CANDIDATE OR ~ NEW EMPLOYEE OR APPOINTEE
**BOTH PARTS OF THIS SECTION MUST BE COMPLETED**
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON
A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one):
DECEMBER 31, 2008 OR ^ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR:
MANNER OF CALCULATING REPORTABLE INTERESTS:
THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH
REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see
instruct'ons for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one):
COMPARATIVE (PERCENTAGE) THRESHOLDS SCR ^ DOLLAR VALUE THRESHOLDS
PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person]
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
C F~.I,-sol~ C1El.~ P. {~. ,(bD S. E . 2nd grt. M -'I_ L.i~W t
331~~
PART B -- SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person]
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
B
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SINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE
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PART C -- REAL PROPERTY [Land, buildings owned by the reporting person] FILING INSTRUCTIONS for when
and where to file this form are locat-
`n
~~D N ~ S DN M I ~ 33 (t~ ed at the bottom of page 2.
~• ~d MI 1 L 33(~~ INSTRUCTIONS on who must file
this form and how to fill it out begin
~' N . ~ . 3rd t. O T ( FL 331 ~( on page 3.
OTHER FORMS you may need to
file are described on page 6.
CE FORM 1 - Eff. 1/2009 (Continued on reverse side) PAGE 1
PART D -INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.]
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
~~ ~- _ M~. M>t~Yt~ CD NSUL'C'rroG. Sn~C.. f ~1nLD5 ~.
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PART E -LIABILITIES [Major debts]
NAME OF CREDITOR ADDRESS OF CREDITOR
N
PART F -INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses]
NAME OF
BUSINESS ENTITY
ADDRESS OF
BUSINESS ENTITY
PRINCIPAL BUSINESS
ACTIVITY
POSITION HELD
WITH ENTITY
I OWN MORE THAN A 5°
INTEREST IN THE BUSII
NATURE OF MY
OWNERSHIP INTEREST
BUSINESS ENTITY # 1 ~ BUSINESS ENTITY # 2 I BUSINESS ENTITY # 3
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ^
SIGNATURE (required): `~
WHAT TO FILE:
After completing all parts of this form, including
signing and dating it, send back only the first
sheet (pages 1 and 2) for filing.
If you have nothing to report in a particular
section, you must write "none" or "n/a" in that
section(s).
Facsimiles will not be accepted.
NOTE:
MULTIPLE FILING UNNECESSARY:
Generally, a person who has filed Form 1 for a
calendar or fiscal year is not required to file a
second Form 1 for the same year. However, a
candidate who previously filed Form 1 because
of another public position must at least file a copy
of his or her original Form 1 when qualifying.
DATE SIGNED (required): _ r
fl~o
WHERE TO FILE:
If you were mailed the form by the Commission
on Ethics or a County Supervisor of Elections for
your annual disclosure filing, return the form to
that location.
Local of><cers/employees file with the Supervisor
of Elections of the county in which they perma-
nently reside. (If you do not permanently reside
in Florida, file with the Supervisor of the county
where your agency has its headquarters.)
State officers or specified state employees
file with the Commission on Ethics, P.O. Drawer
15709, Tallahassee, FL 32317-5709; physical
address: 3600 Maclay Boulevard, South, Suite
201, Tallahassee, FL 32312.
Candidates file this form together with their
qualifying papers.
To determine what category your position
falls under, see the "Who Must File" Instructions
on page 3.
WHEN TO FILE:
Initially, each local officer/employee, state
officer, and specified state employee must
file within 30 days of the date of his or her
appointment or of the beginning of employ-
ment. Appointees who must be confirmed by
the Senate must file prior to confirmation, even
if that is less than 30 days from the date of their
appointment.
Candidates for publicly-,elected local office
must file at the same time they file their
qualifying papers.
Thereafter, local officers/employees, state
officers, and specified state employees are
required to file by July 1st following each
calendar year in which they hold their posi-
tions.
Finally, at the end of office or employment,
each local officerlemployee, state officer, and
specified state employee is required to file a
final disclosure form (Form 1F) within 60 days
of leaving office or employment.
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